ALEXANDER T GEDEVANISHVILI

LAGRANGE, GA
NPI1578558714
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: GA  054099)
Enumeration Date2005-09-14
Last Update Date2019-11-05
Business Address
ALEXANDER T GEDEVANISHVILI M.D.
1602 VERNON RD STE 300
LAGRANGE, GA 30240
Phone number: 706-242-5100
Mailing Address
ALEXANDER T GEDEVANISHVILI M.D.
805 SANDY PLAINS ROAD MEDICAL STAFF SERVICES
MARIETTA, GA 30066-6340
Phone number:
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